Co Specialty Dental Services Pllc | |
501 S Tejon St Ste 200 Colorado Springs CO 80903-3944 | |
(719) 596-3113 | |
Not Available |
Full Name | Co Specialty Dental Services Pllc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 501 S Tejon St Ste 200, Colorado Springs, Colorado |
Authorized Official Name and Position | Charlotte Dasch (DIRECTOR OF PROVIDER RELATIONS) |
Authorized Official Contact | 5046380303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Co Specialty Dental Services Pllc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: () - | Co Specialty Dental Services Pllc 501 S Tejon St Ste 200 Colorado Springs CO 80903-3944 Ph: (719) 596-3113 |
NPI Number | 1003558479 |
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Provider Enumeration Date | 04/07/2022 |
Last Update Date | 04/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003558479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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